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clinical differential management abscess acquired actinomyces actinomycosis ards bronchiectasis cap cardiology causes cd4 chest community criticalcare disseminated emergencymedicine evaluation hamptonhump
Lung Abscess Microbiology: • Polymicrobial • Anaerobes (most common) Clinical: • Indolent symptoms that evolve
Lung Abscess Microbiology ... , hemoptysis Treatment ... #Abscess #Diagnosis ... #Pulmonary #Clinical ... #CXR #ChestXRay
ARDS/VALI progression over the course of 1 week (a) Day 1 - No pathological findings.
) Day 2 - some pulmonary ... involvement, with “white lung ... the differential diagnosis ... #Clinical #Radiology ... #CXR #ChestXRay
Lung Abscess - Diagnosis and Management Summary Lung Abscess Etiology: • Necrosis of lung parenchyma by a
Lung Abscess - Diagnosis ... Blood cultures • CXR ... early disease) • CXR ... seen • Chest CT ... #Abscess #pulmonary
Incidental Finding of Oleothorax - A chest radiograph showed a dense opacity in the upper area
The differential diagnosis ... for pulmonary tuberculosis ... Clinical #PCC #Radiology ... #CXR #Oleothorax ... #NEJM
Miliary Pattern - Chest Radiology • Miliary opacities are scattered, small (1 -4 mm) nodules •
Pattern - Chest Radiology ... throughout the lungs ... Differential Diagnosis ... #pulmonary #CXR ... #clinical #CT
Pulmonary Renal Syndromes - OnePager Summary Autoimmune ANCA vasculitis (AAV): GPA (granulomatous with polyangiitis), EGPA (eosinophilic granulomatosis
: UA, Urine protein ... Other tests: • CT ... sparing of the lung ... seen on chest CT ... #management #treatment
Pulmonary Infections in HIV-AIDS Bacterial: • No organism identified, Strep pneumoniae, H. influenzae, S.aureus, Streptococcus Grp
failure, COPD, Lung ... Evaluation: Imaging (CXR ... +/- High res CT ... Cryptococcal Ag, Urine ... HIVAIDS #workup #diagnosis
Hampton hump is a radiologic sign which consists of a shallow wedge-shaped opacity in the periphery
periphery of the lung ... may aid in the diagnosis ... of pulmonary embolism ... confirmed with chest CT ... #photo #CXR #EmergencyMedicine
Bronchiectasis - Summary What? • Bronchiectasis is derived from the Greek words bronckos meaning airway and ectasis meaning
in the adjacent lung ... of the affected lung ... parenchyma Diagnosis ... high-resolution chest CT ... mycobacteria Treatment
Community Acquired Pneumonia (CAP) - Diagnosis and Management Pneumonia Signs/Symptoms: • Confusion/disorientation (LR + 1.9) • Cough
Pneumonia (CAP) - Diagnosis ... radiograph or CT ... Blood cultures - Urine ... Yield of blood CX ... #Pulmonary #Community
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